| Provider / Organization | NPI | Date Certified |
|---|---|---|
| HEATHER KAY CROSS | 1760913248 | 2022-08-07 |
Heather Kay Cross is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1760913248. Registration indicates Heather Kay Cross is a provider of access to pediatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Pediatrics (Allopathic & Osteopathic Physicians, Pediatrics) (Pediatrics, ) (Primary Care/Family Planning/APRN/PA, ) (Pediatrics, Allopathic & Osteopathic Physicians)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Heather Kay Cross MD |
| Practice Office Address | 800 PRUDENTIAL DR JACKSONVILLE, FL US |
| Practice Office Telephone | 9043497761 |
| Mailing Address | 655 W 8TH ST JACKSONVILLE, FL 322096511 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 655 W 8th St | Jacksonville, FL 322096511 | 9042440411 |
| Code | Practice | License No State |
|---|---|---|
| 208000000X PRIMARY | Access to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Pediatrics Allopathic & Osteopathic Physicians Pediatrics Pediatrics Primary Care/Family Planning/APRN/PA Pediatrics Allopathic & Osteopathic Physicians | ME139886
FL |